Dissertations / Theses on the topic 'Short term medical mission'
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Donatello, Aryn E. "THE IMPACT SHORT TERM MEDICAL MiSSIONS HAVE ON FOREIGN COMMUNITIES." Kent State University Honors College / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1525719084229235.
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Lasker, Judith N., Myron Aldrink, Ramaswami Balasubramaniam, Paul Caldron, Bruce Compton, Jessica Evert, Lawrence C. Loh, Shailendra Prasad, and Shira Siegel. "Guidelines for responsible short-term global health activities: developing common principles." BIOMED CENTRAL LTD, 2018. http://hdl.handle.net/10150/627194.
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Background: Growing concerns about the value and effectiveness of short-term volunteer trips intending to improve health in underserved Global South communities has driven the development of guidelines by multiple organizations and individuals. These are intended to mitigate potential harms and maximize benefits associated with such efforts. Method: This paper analyzes 27 guidelines derived from a scoping review of the literature available in early 2017, describing their authorship, intended audiences, the aspects of short term medical missions (STMMs) they address, and their attention to guideline implementation. It further considers how these guidelines relate to the desires of host communities, as seen in studies of host country staff who work with volunteers. Results: Existing guidelines are almost entirely written by and addressed to educators and practitioners in the Global North. There is broad consensus on key principles for responsible, effective, and ethical programs-need for host partners, proper preparation and supervision of visitors, needs assessment and evaluation, sustainability, and adherence to pertinent legal and ethical standards. Host country staff studies suggest agreement with the main elements of this guideline consensus, but they add the importance of mutual learning and respect for hosts. Conclusions: Guidelines must be informed by research and policy directives from host countries that is now mostly absent. Also, a comprehensive strategy to support adherence to best practice guidelines is needed, given limited regulation and enforcement capacity in host country contexts and strong incentives for involved stakeholders to undertake or host STMMs that do not respect key principles.
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Lansky, Charlotte. "The Impact of Short-Term Medical Missions on Health Care Sustainability in Low-Income and Developing Communities: A Systematic Review." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/623467.
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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.Short‐term surgical missions (STSMs) provide an opportunity for the global health care community to address the surgical needs of developing communities worldwide. Conditions that require a one‐time intervention, such as cleft lip and palate, clearly demonstrate the positive impact these short‐term missions can have on the individual patient. However, the long‐term impact on the local health care system, economy, and community is less clear. Many in the global health care community believe that STSMs should seek to have a long‐term impact by establishing sustainable health care programs. Information regarding the impact of STSMs is scarce, however, due to limited regulation, research, and data from short‐term missions. This study investigates how short‐term international missions impact health care sustainability in low‐income and developing communities. This study uses a systematic review to investigate the impact of STSMs on health care sustainability. Additional outcomes included education and skills‐transfer, cost‐effectiveness, and cultural awareness. 15 articles were included in the study. The following outcomes were found: sustainability in 9 studies, education and skills‐transfer in 5, cost‐effectiveness in 4, and cultural awareness in 3. STSMs can successfully establish sustainable programs abroad. Factors that contribute to this success include education and training of host providers, cost‐effective services, and cultural awareness. Understanding the complex dynamic between STSMs and developing communities is key to developing effective and sustainable programs that offer long‐term benefits to those communities.
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Ambrose, Josh D. "Evaluating Community Dependence on Short-Term International Medical Clinics: A Cross-Sectional Study in Masatepe, Nicaragua." Kent State University Honors College / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1463133502.
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Haynes, Robert Ellis. "Consuming mission : towards a theology of short-term mission and pilgrimage." Thesis, Durham University, 2017. http://etheses.dur.ac.uk/12035/.
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The thesis investigates how contemporary United Methodist short-term mission (hereafter STM) participants express their motivations for taking part in their service activities. It argues that a robust theology of STM is absent. Indeed, this absence is usurped by cultural and economic influences. The disclosed motivations are more reflective of pilgrimage rather than theologies of mission as expressed in the missio Dei and Wesleyan missional theology. The thesis first uses academic literature to codify a United Methodist theology of mission through investigation of the historical influences and current mission practices. Emphasis is placed upon the development and expression of a theology of the missio Dei within the context of a discussion of Fresh Expressions, the Emergent Church, and Third-Wave Mission movements. The unique role of United Methodist mission is illustrated through its historical roots in the Wesleyan movement and contemporary expression in the ubiquitous STM movement in the United States. Next, it utilizes original field research data: semi-structured focus group interviews and online anonymous surveys to gather the implicit and explicit theologies of lay and clergy participants in these international service journeys for intense, but brief, periods of time. The literature and field research are synthesized in an effort to further develop a theology of STM. It is clear that a substantial number of STM participants and leaders placed primary importance upon framing their service trips as a self-benefiting experience. The influences of the Economy of Experience, as illustrated in Joseph Pine and James Gilmore's work, is significant in the field data as participants describe their time, money, sacrifice, and service, applied in the name of mission, as a way to purchase an experience akin to personal growth commonly sought by pilgrims. The resulting tensions this creates for evangelism and mission are explored. There is a call for robust theological work to move this ubiquitous practice away from consuming mission for personal edification.
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Cho, Hyun Chul. "The effect of mission trips on mission-mindedness." Theological Research Exchange Network (TREN), 2005. http://www.tren.com/search.cfm?p049-0459.
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Chatham, Douglas M. "A mission training seminar for Brazil." Online full text .pdf document, available to Fuller patrons only, 1999. http://www.tren.com.
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Hwang, David K. "Summer ambassadors in mission trip to Guatemala for short-term missionary training." Theological Research Exchange Network (TREN), 1989. http://www.tren.com.
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Bair, Daniel R. "The integration of North American short-term mission teams into long-term ministry efforts in Central America and Mexico." Columbia, SC : Columbia Theological Seminary, 2007. http://dx.doi.org/10.2986/tren.023-0219.
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Thesis (D. Min.)--Columbia International University, 2007.Typescript. "December, 2007." Also available in CD-ROM. Description based on print version record. Includes bibliographical references (leaves 166-173).
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Lee, Sung Han Peter. "Korean mass short-term mission case study and analysis of Jerusalem Peace March 2004 /." Theological Research Exchange Network (TREN), 2007. http://www.tren.com/search.cfm?p006-1548.
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Yohn, Brett. "Helping students synthesize a short-term international mission experience into their lives and ministries." Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p054-0246.
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McDonough, Daniel Patrick. "The role of short-term missions in the Great Commission a study of the effects of STEM ministries' short-term mission program on the participants /." Theological Research Exchange Network (TREN), 2005. http://www.tren.com.
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Landosky, Richard K. "The development of a training manual to effectively equip students for short-term mission trips." Online full text .pdf document, available to Fuller patrons only, 2004. http://www.tren.com.
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Zelleroth, Ylva. "Effects of short-term hypoxia on skeletal musclecalcium handling." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-74020.
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Introduction: Calcium is the trigger for muscle contraction and strict control ofintracellular calcium handling is fundamental for muscle function. Imbalances in theintracellular concentration of calcium caused by disturbances in the calcium ion pumps orcalcium channels may be responsible for different types of muscle disorders as myopathies.The pathogenesis of myopathy is unknown, but it has been hypothesized that hypoxia mightbe the trigger of a cascade leading to muscle weakness. Hypoxia is known to induce calciumhandling alterations in many cell types, but effects of hypoxia on calcium handling in skeletalmuscle is still uninvestigated. Aim: To investigate if acute hypoxia affects calcium release and re-uptake in dissociatedmuscle fibres after intermittent tetanic stimulation, with the purpose to increase theknowledge of the role of hypoxia in diseases causing muscle weakness. Method: Single fibres were dissociated from the flexor digitorum brevis taken from mice.These were cultured overnight and then exposed to hypoxia for 30 minutes. Alterations in thefree cytoplasmic calcium ion concentration transients were measured before and after a seriesof 300 intermittent contractions at 70 Hz using fluo-3, which is a fluorescence indicator ofintracellular calcium. Result: Acute hypoxia affected calcium handling in skeletal muscle fibres. Decay of thetetanic free cytoplasmic calcium ion concentration transient was significantly slower inhypoxic compared to control fibres. Resting free cytoplasmic calcium ion concentration andtetanic free cytoplasmic calcium ion concentration seemed to increase prior to fatigue andaccelerate the development of fatigue. Conclusion: Calcium handling alterations induced by acute hypoxia in skeletal musclefibres may have resulted from acidosis and metabolite alterations. Further studies need to beperformed to draw firm conclusions due to limited samples in this study.
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White, W. Rodney. "Evaluating the effects on participants of summer mission teams sent out by Southeastern College." Theological Research Exchange Network (TREN), 1996. http://www.tren.com.
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Clark, Tommy. "Training a short-term mission team from First Baptist Church of Seminole, Oklahoma, for a mission experience to increase the practice of spiritual disciplines and missions involvement." Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p054-0257.
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Hernandez, Ivan. "PRIMING CARDIOVASCULAR STEM CELLS FOR TRANSPLANTATION USING SHORT-TERM HYPOXIA." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/348.
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Conventional medical treatments fail to address the underlying problems associated with the damage inflicted by a coronary event. Thus, the long-term prognosis of patients admitted for heart failure is disheartening, with reported survival rates of 25 percent. Recent advances in stem cell research highlight the potential benefits of autologous stem cell transplantation for stimulating repair in heart tissue. However, a majority of those suffering from cardiovascular diseases are older adults whose autologous cells no longer possess optimum functional capacity. Additional work is needed to identify the optimal cell types or conditions that will promote cardiovascular regeneration across all age groups. A pretreatment, such as short-term hypoxia, and concurrent implementation of a novel progenitor, such as those that co-express Isl-1 and c-Kit, may enhance the results reported in clinical trials completed to date. However, the effects of short-term hypoxia in this novel cell type are unknown and warrant investigation in vitro.
Cloned adult and neonatal Isl-1+ c-Kit+ human cardiovascular progenitor cells were characterized and expanded for study. Populations from both age groups were preconditioned using short-term hypoxia (1% O2 for six hours) and, to identify shifts in gene expression, compared to their respective control (21% O2 at 37 °C) via qRT-PCR. Flow cytometry and western blot analysis was utilized to measure phosphorylation of Akt. Progression through the cell cycle was also analyzed by flow cytometry. Cellular function was evaluated by the use of a TUNEL assay and Transwell® invasion assay.
Hypoxia-mediated alterations of a genetic or functional nature in Isl-1+ c-Kit+ human cardiac progenitors are clearly age-dependent. Although both age groups accrued benefit, the neonatal progenitors procured significantly greater improvements. Short-term hypoxia significantly elevated Akt phosphorylation in neonatal Isl-1+ c-Kit+ human cardiac progenitors. Benefits afforded to both age groups by hypoxic pretreatment included significant upregulation of pro-survival transcripts, and enhanced invasion capabilities in vitro.
Therefore, prior to transplantation, hypoxic preconditioning may improve the ability of transplanted stem cells to home towards damaged areas of the heart and support cardiac regeneration in vivo.
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Alverdes, Lukas. "Short-term effects of 90/90 breathing with ball and balloon on core stability." Thesis, Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-36919.
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Background Breathing is a life preserving mechanism that can influence muscles of the core and its stabilizing mechanisms, especially by the function of the diaphragm and intra-abdominal pressure (IAP) build-up. The 90/90 bridge with ball and balloon (90/90 breathing) is one technique doing so, thereby affecting the core and core stability (CS). Both have been shown to influence injury, and in some studies performance, and are therefore deemed important. In the Functional Training branch exercises that influence CS are used as core activations in the warm-up to increase performance in the short-term, but scientific proof for that is lacking. Objective The aim of this study was therefore to investigate if a core activation in the form of the 90/90 breathing can increase the short-term CS. Methods To test this an intervention trial was designed where the subjects were divided into a control group (CG) and a breathing group (BG). Three CS-tests were done to assess the CS at two times, Pre and Post. The double-leg-lowering (DLL), the unilateral-hip-bridge (UHB) and the single-leg-stand (SLS). The BG did the 90/90 breathing in between Pre and Post, whereas the CG did nothing. The data was checked for group differences at Pre and Post as well as the difference in the performance change from Pre to Post between groups using Independent t-test and Mann-Whitney U test. Improvements from Pre to Post within groups were calculated with Pared Samples t-test and Wilcoxon tests. Results No consistent effect of the intervention was found. The DLL showed the most positive results with a performance improvement in the BG and a greater performance change for the BG than for the CG. The UHB showed mixed results with a better performance at Post for the BG in both legs but only an improvement for the non-dominant leg in the BG. The SLS showed no improvement for the BG in any test. Conclusion The inconsistent results show no general positive effect of the 90/90 breathing on CS. However, the positive effects in the DLL make a position and task specific effect of the 90/90 breathing on CS possible. Practitioners and coaches should consider this task specificity when planning warm-ups. Future research should also choose CS tests and training exercises more task specific to the studied objectives to obtain more distinct results. More research on the short-term effects of CS interventions is needed for a clearer understanding of the subject.
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Adler, Gary John Jr. "Encountering Distant Suffering: The Culture, Production, and Outcomes of Transnational Immersion Trips on the U.S.-Mexico Border." Diss., The University of Arizona, 2012. http://hdl.handle.net/10150/223353.
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Short-term international immersion travel connects participants from educational and religious organizations with distant suffering to build solidarity and motivate transnational civic action. It is a distinct form of transnational social action that produces a personalized, embodied experience of transformation. Despite increasing popularity, and increasing evidence that this form of travel can facilitate civic action and activism, the mechanisms behind the production, experience, and outcomes are not well known. This research examines these issues through a focus on multiple cultural processes. The research site is BorderLinks, a faith-affiliated organization that promotes immigration awareness through travel along the U.S.-Mexico border. I use participant observation with different groups (colleges, seminaries, churches), pre/post surveys with 180 participants, and interviews with participants to examine why individuals participate, how transformative experience is produced, how group styles stabilize this moment of unsettledness, the difficulties of solidarity formation, and the specific patterns of outcomes. Short-term international immersion travel is a cultural strategy of transformation that provides participants with identity shaping experiences and fits the goals of feeder organizations that prioritize personal transformation and social engagement. Recruitment through feeder organizations creates groups with distinct demographic profiles, motivational repertoires, and emotional orientations: the "toolkits of travel." An immersion trip sits in a liminal space of culture, yet the institutional origins of groups generate group styles that guide groups through this unsettledness (Eliasoph and Lichterman 2003). Some groups "sleuth" while others "story build," resulting in different imaginations of possible future action. The encounter with migrants addresses a central question of how solidarity between international travelers and distant suffering is formed. I show the importance of two strategies of solidarity, one relational and one imaginative. Through a hike in the desert, I show the conditions for producing evoking symbols that moralize the experience into the future. I examine change in economic behavior, attitudes, and some civic activity. I use Qualitative Comparative Analysis to show which aspects of immersion travel are most responsible for change: emotional intensification, moralized situations, cognitive awareness, and/or group affiliation. For participants' narrative construction, differences in group use of reflexivity resources affect the moral extension into the future.
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Williams, Natalie A. "Short and long-term effects of birth weight and neonatal medical complications on children's emotional and behavioral outcomes." Diss., Columbia, Mo. : University of Missouri-Columbia, 2008. http://hdl.handle.net/10355/5501.
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Thesis (Ph. D.)--University of Missouri-Columbia, 2008.The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on June 18, 2009) Vita. Includes bibliographical references.
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Reinodt, Sara. "Self-reported back and neck pain : Relation to head posture and short-term effects of a new postural taping method." Thesis, Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-36917.
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Osborn, David R. "Will a short-term course for church leaders on evaluating a reward system help the leaders to evaluate more accurately the consistency of their reward system with their espoused values?" Theological Research Exchange Network (TREN), 2005. http://www.tren.com.
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Skleryk, Julia R. "Comparison of short-term sprint interval versus traditional endurance training on metabolic adaptations in sedentary overweight/obese men." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2011. https://ro.ecu.edu.au/theses/377.
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While exercise is essential to reduce chronic disease risk, many individuals do not adhere to exercise recommendations, with the primary reason being ‘lack of time’. In recreationally trained individuals, short-term sprint interval training (SIT) has been shown to induce metabolic and performance adaptations that parallel those of traditional exercise recommendations (TER), and require considerably less time commitment. However, little is known about the effectiveness of short-term SIT in sedentary overweight individuals. This study compared the effects of SIT and TER on metabolic and health-related markers in sedentary and overweight/obese men. Sixteen sedentary overweight men (37.8 ± 5.8 yrs; BMI 32.8 ± 4.7 kg·m-2) were evenly assigned to 2 weeks of either SIT or TER performed on a cycle ergometer (SIT, 6 sessions of 8-12 x 10 s cycle sprints; TER, 10 sessions of 30 min at 65% V̇O2peak). Fasting plasma glucose, insulin and nonesterified fatty acids (NEFA), homeostasis model assessment of insulin resistance (HOMA-IR), body composition and peak oxygen consumption (V̇O2peak) were assessed at baseline and 72 h after the final training bout. Muscle biopsy samples were taken from the vastus lateralis at the same time points, and analysed for proteins associated with glucose uptake and mitochondrial function. No significant changes in BMI, body composition,V̇ O2peak, fasting plasma glucose, insulin and HOMA-IR were observed from pre to post training time points, either within or between groups. A decrease (p < 0.05) in fasting plasma NEFA was found in the TER group post training. Muscle biopsy analysis revealed that total protein content and phosphorylation of specific markers (AS160, COX II, COX IV, GLUT-4, Nur77 or SIRT1) did not change in either training group. Further analysis revealed that 50% of the subjects were classified as having the metabolic syndrome and were grouped to compare against normal subjects. Total protein content and phosphorylation of specific skeletal muscle metabolic markers (AS160, COX IV and Nur77; P < 0.05) were found to increase with exercise training in normal subjects only, while these markers did not change in subjects with the metabolic syndrome. In summary, two weeks of TER elicits minimal training adaptations in sedentary overweight/obese men, while SIT failed to elicit any change. These findings also suggest that short-term skeletal muscle adaptations to training may be impaired in those with the metabolic syndrome. Further research is needed to examine the long-term effects of TER and SIT in sedentary overweight/obese individuals.
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Weber, Wade Michael. "A literature review of the reentry and adjustment experience of college students returning from short-term international christian mission experiences and implications for student affairs professionals." Manhattan, Kan. : Kansas State University, 2009. http://hdl.handle.net/2097/1436.
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Francovich, Robbi Nelson. "Nurturing the call of the next generation to the nations accelerating global witness characteristics and personal reflection on missional calling through a guided mission immersion experience /." Theological Research Exchange Network (TREN) Theological Research Exchange Network (TREN) Access this title online, 2006. http://www.tren.com.
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Drommer, Juliane [Verfasser]. "Short-term individual nutritional care as part of routine clinical setting improves outcome and quality of life in malnourished medical patients / Juliane Drommer." Bonn : Universitäts- und Landesbibliothek Bonn, 2012. http://d-nb.info/1043056033/34.
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Tse, Po-shu Patrick, and 謝寶樹. "An application of short-term scheduling tactics to the accident and emergency department of a public hospital in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B31264785.
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Creson, Thomas Kyle. "Dose-response effects of lithium on spatial memory in the black molly fish." [Johnson City, Tenn. : East Tennessee State University], 2002. http://etd-submit.etsu.edu/etd/theses/available/etd-0829102-150014/unrestricted/CresonT091102f.pdf.
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Alvarez, George Francisco Centre of Health Informatics UNSW. "Interruptive communication patterns in the intensive care unit ward round." Awarded by:University of New South Wales. Centre of Health Informatics, 2006. http://handle.unsw.edu.au/1959.4/23430.
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Medical error and patient safety have become important issues. It is clear that medical error is more influenced by systemic factors rather than human characteristics. Communication patterns, in particular interruptive communication, maybe one of the systemic factors that contribute to the burden of medical error. Objective: An exploratory study to examine interruptive communication patterns of healthcare staff within an intensive care unit during ward rounds. Methods: The study was conducted in a tertiary hospital in Sydney, Australia. Nine participants were observed individually, for a total of 24 hours, using the Communication Observation Method (COM). The amount of time spent in conversation, the number of conversation initiating and number of turn-taking interruptions were recorded. Results: Participants averaged 75% [95% confidence interval 72.8-77.2] of their time in communication events during ward rounds. There were 345 conversation-initiating interruptions (C.I.I.) and 492 turn-taking interruptions (T.T.I.). C.I.I. accounted for 37% [95%CI 33.9-40.1] of total communication event time (5hr: 53min). T.T.I. accounted for 5.3% of total communication event time (56min). Conclusion: This is the first study to specifically examine turn-taking interruptions in a clinical setting. Staff in this intensive care unit spent the majority of their time in communication. Turn taking interruptions within conversations occurred at about the same frequency as conversation initiating interruptions, which have been the subject of earlier studies. These results suggest that the overall burden of interruptions in some settings may be significantly higher than previously suspected.
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Pillay, Vashini. "Short-term treatment outcomes of children starting ART in the ICU, general medical wards and outpatient HIV clinics at Red Cross War Memorial Children’s Hospital (RCWMCH): a retrospective cohort study." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13245.
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Includes bibliographical references.Short-term treatment outcomes of children starting ART in the ICU, general medical wards and outpatient HIV clinics at Red Cross War Memorial Children’s Hospital (RCWMCH): A Retrospective Cohort Study. Background: Antiretroviral therapy (ART) has proven to decrease morbidity and mortality in HIV-infected children and improve immunologic, virologic and clinical outcomes. As clinical management policies evolved, an emphasis on early infant testing was adopted resulting in an increasing number of children being diagnosed and commenced on therapy before the onset of severe disease progression. However, a fair proportion still remain untested and subsequently present to hospital with advanced immunosuppression and severe disease. Since the advent of the 2013 national Standard Treatment Guidelines which encourage expedited initiation of ART within 7 days of HIV diagnosis in all children under the age of 12 months and in those with advanced immunosuppression, it is likely that many HIV-infected children are being initiated on ART during hospitalisation in South Africa. No local published data on these outcomes exist. We assessed the short-term outcomes of children initiated on ART in the intensive care unit (ICU), general medical wards (GMWs) and outpatient HIV clinics (OHCs) at RCWMCH. Methods: Structured Literature Review A Pubmed search looking at outcomes of treatment naïve HIV-infected children and adolescents up to 19 years of age living in South Africa commenced on 1st line ART regimens in accordance to the national guidelines presiding at the time, over a 10 year period was performed. This served to identify gaps in knowledge around paediatric ART in a South African context warranting further research. Retrospective Cohort Study We conducted a retrospective cohort study of HIV-infected children <13 years of age, commenced on first line ART between January 2008 and December 2011 at RCWMCH. Outcome measures included death, virologic suppression and changes in CD4 count and percentage. Kaplan-Meier estimates, multivariate Cox proportional hazard ratios and logistic regression were used to estimate outcomes 6 months after ART initiation. Results: Structured Literature Review This review identified several knowledge gaps. One of these gaps, the treatment outcomes of children started on ART at different service levels within tertiary health care settings was addressed in our retrospective cohort study and described in section C of this dissertation Retrospective Cohort Study Seven hundred and forty-nine children were included: 106 were commenced on ART in the ICU, 509 in the GMWs and 127 in the OHCs. Four hundred and ninety-two (65.7%) children were <12 months old. Children in the ICU and GMW cohorts were significantly younger than the OHC cohort (median ages: 3 and 5 months respectively vs. 22 months) and had lower WAZ scores (-2.48 and -2.33 respectively vs -1.14). Three hundred and eighty-five (51.4%) children qualified for rapid ART initiation within 7 days of HIV diagnosis or hospitalisation, based on CD4 criteria in the 2013 national Standard Treatment Guidelines. Overall mortality was 6.4% (CI: 4.9 - 8.4). Mortality was significantly higher in the ICU cohort i.e. 14 (13.2%) deaths compared to 28 (5.5%) and 5 (3.9%) deaths in the GMWs and OHCs cohorts, logrank p=0.004. Predictors of mortality included being moderately underweight HR 2.4 (CI: 1.1 – 5.2; p=0.02), severely underweight HR 3.2 (CI: 1.6 – 6.5; p=0.001), absence of caregiver counselling sessions HR 2.9 (CI: 1.4 – 6.0; p=0.005) and ART initiation in ICU HR 2.6 (CI: 1.4 – 4.9; p=0.003). Conclusion: The findings of our retrospective cohort study serve as a basis for understanding the implications of ART initiation in children during hospitalisation.
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Fairhurst, Katherine M. "Investigating the role of memory on pain perception using FMRI." Thesis, University of Oxford, 2011. http://ora.ox.ac.uk/objects/uuid:07004674-300d-43af-95fc-2862d1cb5eb2.
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It is now widely accepted that the experience of pain is subject to cognitive influences that may determine the severity of subjectively perceived pain. Many of these top-down factors rely on memory-based processes, which in turn are related to prior experience, learned beliefs and behaviours about pain. As such, memory for pain heavily contributes to the physical pain experience. We posit that pain memory is bidirectional in that following each painful event a trace is stored and that these traces in turn may modify future pain perception prospectively. The following body of work explores aspects of what we have termed a memory template for pain. The results of these chapters taken together, examine these bidirectional aspects of short-term memory for pain employing a recall pain task. Specifically, we explore how, after an acute pain event, a short-term mental representation of the initial event persists. We show that during this time, sensory re-experiencing of the painful event is possible. Furthermore, we investigate aspects of recalled pain, namely intensity and vividness. Data suggests that the intensity and the vividness of this mental representation are determined by the intensity of the initial stimulus, as well as the time-to-test delay. We identify regions that characterise short-term memory for pain. Following on from studies in motor and visual imagery, we explore how pain imagery in the form of recall may affect subsequent pain perception. Our results demonstrate that the inclusion of pain-related imagery preceding physical pain events reduces affective qualities of pain. Testing healthy, naïve subjects, we replicate the effect observed in studies using attention management and imagery strategies, which normally require extensive training. Finally, in a cohort of neuropathic pain patients we show significant reductions in white matter connectivity between areas responsible for working and prospective memory. Collectively, these studies emphasise and elucidate the role of short-term memory of pain in physical pain perception. Acting both retrospectively and prospectively, cognitive reinforcement can increase or decrease the subjective feeling of pain, and therefore manipulating how pain is recalled may have therapeutic potential.
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Maida, Francesco. "Study of the microgravity environment and analysis of the engineering approaches for in-orbit artificial gravity generation." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2021. http://amslaurea.unibo.it/24233/.
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Human body deconditioning on astronauts during long duration deep space mission is now well-recognized and studied since the past 7 decades. In the last 30 years designers and engineers have worked in order to define functional countermeasure that goes beyond the simple exercise conducted during spaceflight on the manned space stations (the current method used to reject the degradation and modification of the human body physiology caused by microgravity).
This work follows these studies and discusses the potential technologies developed with a particular attention to both the long radius s and short radius centrifuges; in particular, the latter was accompanied by the sizing of a simplified prototype and a whole description of the characteristics of this kind of machines and constraints associated.
The works ambitiously underlines the importance of implementing such systems in a long duration deep space mission in order to preserve astronaut’s health and the mission as a whole.
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Bergelin, Victor. "Human Activity Recognition and Behavioral Prediction using Wearable Sensors and Deep Learning." Thesis, Linköpings universitet, Matematiska institutionen, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-138064.
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When moving into a more connected world together with machines, a mutual understanding will be very important. With the increased availability in wear- able sensors, a better understanding of human needs is suggested. The Dart- mouth Research study at the Psychiatric Research Center has examined the viability of detecting and further on predicting human behaviour and complex tasks. The field of smoking detection was challenged by using the Q-sensor by Affectiva as a prototype. Further more, this study implemented a framework for future research on the basis for developing a low cost, connected, device with Thayer Engineering School at Dartmouth College. With 3 days of data from 10 subjects smoking sessions was detected with just under 90% accuracy using the Conditional Random Field algorithm. However, predicting smoking with Electrodermal Momentary Assessment (EMA) remains an unanswered ques- tion. Hopefully a tool has been provided as a platform for better understanding of habits and behaviour.
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Ketheeswaran, Pavinarmatha. "Good intentions with unknown consequences: understanding short term medical missions." Thesis, 2015. https://hdl.handle.net/2144/14534.
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Introduction: Short-term medical missions (STMMs) are international service trips of short duration and typically involve teams traveling to provide medical service to low- and middle-income countries. The phenomenon of STMMs is neither well understood nor well defined in the literature. To date, the only published reviews of STMMs focus exclusively on the academic literature. However, these reviews do not capture the characteristics of medical missions conducted by visiting medical teams (VMTs) with no impetus to publish. YouTube, a video sharing platform which launched in 2005, is a novel information source for studying health-related issues. The goal of the present study is to understand the scope of STMMs. Specifically, we aim to characterize the STMMs described in publications listed in PubMed and videos posted to YouTube. We aim to subsequently compare findings from the literature and video review.
Methods: We followed PRISMA guidelines to conduct a two pronged search of PubMed-indexed articles and videos posted to YouTube. We created a data extraction form to collect information about short-term medical mission characteristics, including sending and recipient country, sending organization, size of VMT, duration of medical mission, student involvement, and links to the local health system. Additional YouTube video-specific information was extracted including number of views, perspective, quality, operating location of the team, and distribution of medicines and vitamins. The free-text observations of the videos were thematically analyzed.
Results: The majority of STMMs described in both PubMed (72%) and YouTube (93%) originate from the USA. The countries receiving the highest number of STMMs identified through literature publications were Haiti, Guatemala, Ethiopia and Peru; among videos, the countries with the highest number of STMMs were Philippines, Haiti, Honduras, and the Dominican Republic. Analysis based on income grouping shows the majority of missions go to lower-middle income countries. Analysis of recipient country based on health workforce density shows that most STMMs go to countries with a health workforce shortage, but this relationship is not linear. The majority of STMMs described in the literature (46%) were organized by secular non-profit organizations whereas the majority of STMMs described in the videos (45%) were organized by faith-based organizations.
Out of 49% of articles that specified size, the median was eight members. In comparison, out of 33% videos that specified size, the median was 19 members. Whereas the median size of STMM reported in the literature was 9.5 days, the median duration in videos was 7 days. Student involvement was mentioned in 39% of articles and 18% videos.
The majority (87.3%) of articles described a link to the local health system, whereas only 49.8% of videos described any link to the local health system. The median number of views of the videos was 315. Almost all videos (98.6%) were taken from the perspective of the VMT, and 82.2% were of amateur quality (non-professional). Although patients’ faces were shown in 96.1% of videos, only 0.7% of these videos stated that patient consent was obtained. Among the videos that specified the operating location of the STMM, 52.2% took place in a local healthcare facility, 21.5% in a school classroom, and 20.5% in a church. Over half (59%) of the videos portrayed the distribution of medications or vitamins. Of the videos that specified the type of service provided, 80% described STMMs that delivered medical (non-surgical) services. The provision of dental (36%), surgical (29%), and optometric (18%) services was also commonly described. Themes that emerged from the videos included patient privacy issues and long wait times.
Discussion/Conclusion: The identified recipient countries of STMMs, when analyzed by income grouping and health workforce density, suggest inadequate distribution of STMMs. Furthermore, the videos highlight aspects of STMMs that have not been clearly explored in the literature including patient privacy, long wait times, and the distribution of medications and vitamins. Additionally, we found considerable variation between STMMs described in the academic literature and in grey data sources, specifically with respect to recipient country, sending organization, size of VMT, duration of STMM, and student involvement. Thus, we recommend caution in using only the academic literature to characterize the scope of medical missions. Future programmatic and policy directions should include improved pre-departure VMT training, rigorous evaluation of STMMs and the creation of a global registry.
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Chileuitt, Karen Andrea. "The impact of short term volunteer international mission trips on volunteers and patients." Thesis, 2018. https://hdl.handle.net/2144/31161.
Full textAbstract:
Short-term volunteer mission trips account for an important aspect of global health care. The demand and desire to attend a mission trip has grown over the past decade. Self-fulfillment, altruism and philanthropy are said to be the motivating factors behind mission trips. In the present study, the motivation behind abroad short-term volunteer mission trips will be further researched and reported on. Mission trips to third-world countries, providing volunteer healthcare and oral health education have gained much popularity across the United States since their start in the 1980s. These trips are seen as selfless yet self-fulfilling opportunities. The benefits of these short-term volunteer mission trips will be evaluated in this thesis.Some characteristics that make mission trips valuable include the benefits experienced by patients, who would normally not have access to care and also by volunteer participants, who are able to give back to marginalized populations. More recently, the roles of physicians (and dentists) have been studied. Along with studying clinician’s roles on the trips, students’ educational experiences have been examined. Information on various perspectives have been written and are accompanied by a considerable amount of supporting information. Of these arguable points, many consist of discussing the enlargement of educational opportunities. By being a part of these mission’s trips, students can gain valuable skills for their future careers. Cross-cultural experiences during the trips are another alluring aspect for students. As supported by evidence, cultural awareness in the medical and dental field has had a great impact on volunteers. So much so that access to clinical experiences while abroad balances out the needs for the community while serving as a unique educational opportunity to students.
The increasing popularity of volunteer trips providing third-world countries with access to healthcare has come with both advantages and disadvantages. The pitfalls and risks of volunteering abroad will be discussed including the drawbacks that include ethical dilemmas. In addition, issues with the infrastructure and framework of the visited country’s health care system are considered. This literature review takes a comprehensive look at medical/dental mission trips of all healthcare fields and proceeds to evaluate associated studies in which patients’ benefits, cross-cultural experiences and providers’ and students’ roles are affected by them.
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Filmer, Leighton Bruce. "Exploring Nepali Health Personnel Experiences of Collaboration with Short-Term Mobile Medical Teams in Gorkha, Nepal." Thesis, 2019. http://hdl.handle.net/2440/122608.
Full textAbstract:
Introduction: Rural and remote areas of Nepal frequently host short-term medical teams responding both to disasters and chronic health needs. Collaboration between visiting medical teams and Host Health Personnel (HHP) has been identified as an important foundation of quality, effective, and sustainable health care for host communities. Published research on collaborative efforts in the planning, implementation, and evaluation of the outcomes of these missions is minimal. Particularly absent is the perspective of HHP on the extent and methods of collaboration. Methods: To explore the experiences of collaboration of HHP with visiting mobile medical teams in a rural region of Nepal this project used qualitative semi structured interviews and analysis through the lens of Critical Social Theory. NVivo© by QSR International was used to organise the interviews into themes to assist analysis. Results: Few teams engaged in good collaboration with HHP throughout their mission. Interpersonal skills of key leaders were highlighted by HHP as foundational for collaboration, resulting in three major themes; Presence: immersion in the context of health needs and openness to learning and change; Dignifying: pertaining to respect, reciprocal arrangements, and sensitivity to social status and organisational position; and Engaging: the initiation of discussions, objective development, and engagement in the offering, denying, and rejecting of services. Conclusion: Despite ongoing calls for improved collaboration between hosts and visiting medical professionals there is still a lack of collaboration. This can lead to relationship breakdown between hosts and visiting teams with consequences for patient care. Medical teams responding to disasters and engaged in specialist medical services need to ensure team leadership has the interpersonal skills required for collaboration and sufficient organisational flexibility to share decision making with HHP.Thesis (MClinSc) -- University of Adelaide, Adelaide Nursing School, 2019
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Huang, Pi-Yun, and 黃碧雲. "A Study on the Short-term Claim Rates of Medical Insurance." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/98122742499730832631.
Full textAbstract:
碩士國立高雄第一科技大學
風險管理與保險研究所
102
Along with the increase of incomes, the raise of educational level and general knowledge, the concept of insurance has been gradually accepted by the public, and there are more and more people choosing insurances as claim planning and risk transfer. In recent years, the change of society’s structure, the aging population and the low birth rate are serious issues; therefore, the medical insurance is indispensable either for individuals or for families risk management. The life insurance market in Taiwan is extremely competitive. The efficiency, quality and satisfaction of claim services normally represent an insurance company’s competitiveness, and they are also the important factors for the public to opt an ideal insurance firm. Under the prevalence of utilitarianism, the insurance claim is used by schemers as a tool, and the frequent cases of insurance fraud, which cause a grave impact on every life insurance company’s financial number and even a waste of social resources, have been appearing in recent years. This study analyzes the samples of claim cases filed by the insurance policy holders who have already been insured for or less than three years. There are a total of 341 cases, who had added a medical insurance and later filed a claim, collected between January, 2010 and June, 2013 from A company as a object of a study. Based on these cases, the possible factors of the short-term claim rates of medical insurance are determined. As indicated by the analysis, the claim rates of insurance policy holders (the insured), who pay the initial premium by non-yearly basis or are told that there are other companies providing the same service, are higher than the average. Besides, the claim rates of insurance policy holders (the insured), who pay the initial premium by non-yearly basis and designate the legal heir as the beneficiary of death benefit or are told that there are other companies providing the same service, are also higher than the average. The prediction analyses employed in the groups of high claim and low claim rates exhibit that the number of young insurance policy holders, who make a claim in a short insured period, is increasing; the probability of insurance policy holders, who designate the legal heir as the beneficiary of death benefit, is highest among high claim rates group. The result of this study can serve as a reference for life insurance companies to conduct the risk selection of underwriting practices and risk management of claims. As a result, the potentially risky insureds should be under strict scrutiny so as to prevent moral hazard and preclude improper claims.
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CHANG, CHING-FANG, and 張靜芳. "The Study of Short-term Claims on Lifelong Medical Insurance Claims." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/43568137038399861363.
Full textAbstract:
碩士銘傳大學
風險管理與保險學系碩士在職專班
104
The life expectancy of people has increased steadily. If it was not the cause of healthy aging, medical claims will be high in probability relatively. In recent years, the life insurance company claimed that the expenditure of health insurance rise year by year. Under such environmental conditions, the medical of short-term claims did not like to be seen in the life insurance companies. This short-term claims may imply improper sales and attract customers to insure bad motives. The purpose of this study was to view from the life insurance company underwriting and claims, explore the factors of sales and policyholders on medical short-term claims. This study investigated that the factor affecting the quality of the company's business to Pearson correlation analysis salesman background, the sales's organization features, policyholders and policy background characteristics, review whether these factors and short-term claims insurance were correlated. The results is as shown as below: 1. The older the age of a salesman and the higher level of high school or vocational school, the higher the probability of short-term claims for the managing position of solicitation on insurance cases. 2. The bigger the sales organization has the solicitation of insurance cases gets the higher probability on short-term claims. 3. The insured with younger age and those who are female gets the higher probability on short-term claims. 4. The time on insurance is longer with medical check and increasing insurance fees gets the higher probability on short-term claims. One salesman who was able to make benefits for an insurance company depends on the quality to attract rather than the amount of performance. Those salesmen who stands on the front line facing the policyholders to have risk selection, in order to avoid improper solicitation and unfiltered policyholders with personal intentions.
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Lee, Yoon Jung. "Mission Travelers: Relationship-building and Crosscultural Adaptation." Thesis, 2011. http://hdl.handle.net/1969.1/ETD-TAMU-2011-08-9900.
Full textAbstract:
Since 1992, the number of short-term mission (STM) travelers has exponentially increased for more than a decade. The purpose of STMs is to spread religious messages to local residents. In order to spread the word of God, STM travelers attempt to interact with local residents. They want to communicate with local residents in the host community and build a relationship with them. Therefore, for STM travelers their relationship with local residnets really matters. Many tourism scholars have argued that hosts-tourists interaction heavily influences both tourists and hosts. In spite of the increased popularity and the importance of host-tourist interaction in the context of STMs, STMs have received relatively little attention from the tourism research field.
Accordingly, the purpose of this study is to understand short-term mission travelers' interaction with local residents within four existing theories: the theory of leisure and tourist motivation, the theory of cultural hegemony, the gift-exchange theory, and the integrative theory of cross-cultural adaptation. To reach this research aim, this study used a qualitative research design rooted in the constructivist paradigm. A total of 43 STM travelers participated in the interview of this study. Considering the concept of the cultural distance between the participant's home culture and the host culture, American and Korean STM travelers who visited Cambodia or Thailand were recruited. Also, to understand the process of participant's relationship-building and cross-cultural adaptation, both pre- and post-interviews with 26 participants were conducted.
The results showed that STM travelers sought personal and interpersonal rewards from the trip, which supports the theory of leisure motivation. Also, this type of travel had similarities with alternative, mass, and volunteer tourism in terms of tourist motivation. Regarding the theory of cultural hegemony, hegemonic power was exercised through STM travelers' work. STM travelers took advantage of an opportunity to provide what locals wanted as an opportunity to spread their religious message. Furthermore, identified conflicts between Christianity and the local culture support the existence of cultural hegemony. Concerning the relationship-building process of STM travelers, the results suggested that STM travelers built their relationship with local people and God by providing a gift to them and positively evaluating receivers' responses. In terms of the theory of cross-cultural adaptation, this study found support for this theory as successful intercultural adaptation led to a personal transformation in travelers. Finally, cultural distance was considered as a dimension of the intercultural adaptation theory. Regarding the perceived cultural distance, American mission travelers reported cultural distance with the host culture whereas Korean mission travelers expressed a cultural similarity to the host cultures rather than cultural difference.
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Yusuf, Bilkisu Abdulrazaq. "Long and short term complications of Hypertensive disorders of pregnancy." Dissertação, 2020. https://hdl.handle.net/10216/131255.
Full text
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Tsai, Pei-hsin, and 蔡佩杏. "A Study on the Determinants for Short-term Medical Insurance Claim Factors." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/69711452821314035335.
Full textAbstract:
碩士國立高雄第一科技大學
風險管理與保險研究所
101
Medical insurance has always been a major part of claims for insurance companies; in most cases, clients and insurance companies are not equally informed, and thus companies would be extra cautious when approving clients’ applications and need to examine related medical reports when clients make their claims. Under such circumstances, short-term claims are the last scenario that insurance companies want to see. This study will focus on determinants for short-term medical insurance claims, analyzing factors that have influence on short-term claims and discussing the relation between medical insurance and short-term claims. The prediction and analysis in this study are based on Logistic Regression Model. The variables in this study are independent ones, including insured amount of primary insurance, insured amount of insurance riders, annual premium, type of premium payment, type of medical exam, gender, if it requires the same insurer, if it includes surgery, investigation, emergency care, level of in treatment hospital, and age. This study will cover a discussion on the positive and negative correlation among the variables. This study aims at helping insurance companies achieve the practical prevention of risks under the influence of variables in the perspective of short-term medical insurance claims; insurance companies can further have an access to correct information and achieve a better balance and stable performance in insurance approval management and policy standards design.
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Yusuf, Bilkisu Abdulrazaq. "Long and short term complications of Hypertensive disorders of pregnancy." Master's thesis, 2020. https://hdl.handle.net/10216/131255.
Full text
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Friesen, Randall Gary. "The long-term impact of short-term missions on the beliefs, attitudes and behaviours of young adults." Thesis, 2004. http://hdl.handle.net/10500/1890.
Full textAbstract:
This study investigated the impact that a number of variables within the short-term mission experience had on the beliefs, attitudes and behaviours of Anabaptist young adult mission participants in 24 concepts related to their relationship with God, the Church and world around them. Study participants were drawn from five different Anabaptist denominationally connected short-term mission programs ranging in length from one month to one year.
This study used a quasi-experimental pre-test, post-test, follow-up design with non-equivalent groups as well as a non-randomized control group. The 116 study participants filled out a quantitative questionnaire prior to their short-term mission experience, after they returned from their mission experience and again one year after they returned. This longitudinal aspect of the research design measured the relative impact of variables within the short-term mission experience on participants over time. Methodological triangulation was employed that allowed for a variety of quantitative and qualitative tools to be used in better understanding the comparative impact of the short-term mission experience. The questionnaire, short essay response and interviews all incorporated concepts related to the international and cross-cultural impact of the short-term mission experience that have not been systematically analysed in this kind of study before.
Response rates remained very high throughout the three stages of data collection and produced a number of significant findings. These findings included the positive impact during the mission experience of: an extensive pre-trip training experience, longer assignments, cross-cultural assignment location, relationally focused assignments, supportive families and churches, and correlation between repeat assignments and strong interest in future full-time mission work.
While the positive impact of the short-term mission experience was significant, the post-trip regression in participants' beliefs, attitudes and behaviours one year after returning from the mission experience was also significant. This regression indicates that inadequate attention is being paid to participant re-entry, debrief and follow-up. Short-term mission agencies, participants and local churches need to view the discipleship impact of the short-term mission experience as ongoing. It is counter-intuitive to invest discipleship resources on returning short-term mission participants; however, the data indicates that is where the most significant discipleship challenges are found.Theology
D.Th.
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Tsao, Chih-Hsiang, and 曹智翔. "Dynamic Medical Goods Order and Transit Scheduling Model for Schedule Perturbation in Short-Term Operations." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/60467439159177411787.
Full textAbstract:
碩士國立中央大學
土木工程研究所
95
When an urgent epidemic situation breaks out, a satisfactory schedule of medical resource supply orders and transit plan can help a medical system efficiently serve drastically increased demand of medical goods to patients. It can also help effectively reduce the operating cost and maintenance the medical service quality. Currently medical goods are ordered by the union decision center in a Taiwan medical system with electronic purchase systems and decision support systems. However, the important parameters (e.g., the order/transit frequency, the order quantity, and the safe stock capacity) are manually determined by staff with experience. Lacking a systematic optimization analysis, this approach rather depends on the staff’s subjective judgments. As a result, feasible but inferior decisions have usually been made. In particular, under an urgent epidemic situation, the demand of medical goods would suddenly and largely increase, which would make it difficult to efficiently revise the original schedule with existent resources to respond to the incident. Additionally, in actual operations, the demands of medical goods often change stochastically, possibly causing the original schedule to lose its optimality. Consequently, the effect of medical system would be decreased and the operating cost be increased. Therefore, in this research, based on a medical system’s perspective, we systematically consider the expected epidemic period, the expected demand of goods for every time slot in all hospitals and their departments, the transportation cost of goods, the stock capacity and other constraints, as well as the integrated transit plan of medical goods in the dimensions of time and space, to construct a deterministic medical goods order and transit scheduling model. Further, considering the stochastic demand of medical goods that occur in real time operations, we construct a stochastic medical goods order and transit scheduling model. These two models are expected to be useful planning tools for medical system to determine effective resource supply orders and transit schedules under urgent epidemic situations. We employed time-space network techniques with the system optimization perspective to construct a deterministic real-time scheduling model, which include several time-space networks to express the flows of different medical goods in the dimensions of time and space. The model is formulated as a multiple commodity network flow problem that is characterized as NP-hard. Then, we modified the fixed demand parameters in the deterministic scheduling model as random variables to develop a stochastic real-time scheduling model, which is more complicated than the deterministic scheduling model. To better solve the stochastic model, we used problem decomposition techniques to develop the heuristic to solve the stochastic problem. In addition, to evaluate the deterministic and stochastic scheduling models in actual operations, we develop an evaluation method. Finally, in order to test the models and solution algorithms in actual operations, we perform a case study based on a domestic large-scale medical system (containing several hospitals)’s operating data. The preliminary results are good, showing that the models could be useful for medical system planning medical goods order and transit scheduling.
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Daly, Matthew. "The short term effects of muscle energy technique on thoracic range of motion." 2004. http://eprints.vu.edu.au/789/1/Daly_et.al_2004.pdf.
Full textAbstract:
Muscle Energy Technique (MET) has been reported to produce an immediate increase in the range of motion (ROM) of the spine. There is limited research in the application of MET to the thoracic spine and no evidence of the duration of any ROM change. The effect of Muscle Energy Technique was not significantly different from the sham treatment in increasing thoracic range of motion into a restricted direction within an asymptomatic sample population, either directly after MET application or at approximately thirty minutes post-MET. Range of motion was significantly different when comparing the restricted side to the non-restricted side, but not between the sham treatment and treatment groups. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.
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Ferreira, Francisca Isabel Barros. "The Impact of Very Short-term Variability of Blood Pressure in Outcome after Successful Thrombectomy." Master's thesis, 2020. https://hdl.handle.net/10216/128810.
Full textAbstract:
Objetivos: Determinar se a variabilidade da pressão arterial a muito curto prazo após trombectomia mecânica eficaz em doentes com acidente vascular cerebral (AVC) isquémico tem um impacto relevante no prognóstico clínico destes doentes.
Métodos: Este é um estudo prospectivo com inclusão consecutiva de doentes com AVC isquémico por oclusão de vasos da circulação intracraniana anterior, que realizaram trombectomia mecânica e atingiram recanalização completa (modified Treatment In Cerebral Ischemia graus 2b-3). A variabilidade da pressão arterial foi avaliada por análise espectral das oscilações espontâneas da pressão arterial sistólica no período pós trombectomia. Os outcomes avaliados foram a independência funcional aos 90 dias (escala Rankin modificada 0-2) e a resposta clínica inicial à trombectomia mecânica.
Resultados: Foram incluídos 121 doentes. O aumento da variabilidade da pressão arterial a altas frequências (oscilações rápidas) mostrou-se independentemente associado a pior outcome funcional aos 90 dias (unidades normalizadas, odds ratio (OR) = 0.56, 95% intervalo de confiança (CI) 0.35 - 0.88, p=0.01; rácio baixas/altas frequências OR = 0.67, CI 0.46 - 0.98, p=0.04) em análise multivariada.
Conclusão: A magnitude das oscilações rápidas da pressão arterial tem um impacto significativo na recuperação neurológica precoce e outcome funcional tardio nos doentes com AVC isquémico após recanalização completa. A variabilidade da pressão arterial a muito curto prazo pode ser avaliada rapidamente durante o período pós-intervencional e contribuir potencialmente para um controlo da pressão arterial mais eficaz nestes doentes, com um impacto prognóstico importante.Background and Purpose: We aim to determine if the very short-term blood pressure variability (BPV) after successful endovascular treatment of acute ischemic stroke has a relevant impact in the clinical outcome. Methods: This is a prospective multicenter study with inclusion of consecutive AIS patients with occlusion of intracranial anterior circulation vessels who achieved successful recanalization (modified Treatment In Cerebral Ischemia grades 2b-3) after thrombectomy. Very short-term BPV was assessed by spectral analysis of spontaneous fluctuations of beat-to-beat systolic blood pressure values recorded by finger plethysmography with Finometer device. Outcomes included independence at 90 days (modified Rankin scale 0-2) and the initial clinical response to mechanical thrombectomy. Results: We included 121 patients. Increased BPV at high frequencies (rapid oscillations) was independently associated with poor functional outcome at 90 days (normalized units, odds ratio (OR) = 0.56, 95% confidence interval (CI) 0.35 - 0.88, p=0.01; low/high frequency ratio OR = 1.38, CI 1.09 - 1.76, p<0.01) and early neurological recovery (normalized units, OR = 0.67, CI 0.46 - 0.98, p=0.04) in multivariate analysis. Conclusions: The magnitude of rapid oscillations of blood pressure has a significant impact in early neurological recovery and late functional outcome of ischemic stroke patients after successful recanalization. Very short-term BPV can be assessed quickly throughout the post intervention period and potentially contribute to a more efficient blood pressure control in AIS patients submitted to endovascular treatment.
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Ferreira, Francisca Isabel Barros. "The Impact of Very Short-term Variability of Blood Pressure in Outcome after Successful Thrombectomy." Dissertação, 2019. https://hdl.handle.net/10216/128810.
Full textAbstract:
Objetivos: Determinar se a variabilidade da pressão arterial a muito curto prazo após trombectomia mecânica eficaz em doentes com acidente vascular cerebral (AVC) isquémico tem um impacto relevante no prognóstico clínico destes doentes.
Métodos: Este é um estudo prospectivo com inclusão consecutiva de doentes com AVC isquémico por oclusão de vasos da circulação intracraniana anterior, que realizaram trombectomia mecânica e atingiram recanalização completa (modified Treatment In Cerebral Ischemia graus 2b-3). A variabilidade da pressão arterial foi avaliada por análise espectral das oscilações espontâneas da pressão arterial sistólica no período pós trombectomia. Os outcomes avaliados foram a independência funcional aos 90 dias (escala Rankin modificada 0-2) e a resposta clínica inicial à trombectomia mecânica.
Resultados: Foram incluídos 121 doentes. O aumento da variabilidade da pressão arterial a altas frequências (oscilações rápidas) mostrou-se independentemente associado a pior outcome funcional aos 90 dias (unidades normalizadas, odds ratio (OR) = 0.56, 95% intervalo de confiança (CI) 0.35 - 0.88, p=0.01; rácio baixas/altas frequências OR = 0.67, CI 0.46 - 0.98, p=0.04) em análise multivariada.
Conclusão: A magnitude das oscilações rápidas da pressão arterial tem um impacto significativo na recuperação neurológica precoce e outcome funcional tardio nos doentes com AVC isquémico após recanalização completa. A variabilidade da pressão arterial a muito curto prazo pode ser avaliada rapidamente durante o período pós-intervencional e contribuir potencialmente para um controlo da pressão arterial mais eficaz nestes doentes, com um impacto prognóstico importante.Background and Purpose: We aim to determine if the very short-term blood pressure variability (BPV) after successful endovascular treatment of acute ischemic stroke has a relevant impact in the clinical outcome. Methods: This is a prospective multicenter study with inclusion of consecutive AIS patients with occlusion of intracranial anterior circulation vessels who achieved successful recanalization (modified Treatment In Cerebral Ischemia grades 2b-3) after thrombectomy. Very short-term BPV was assessed by spectral analysis of spontaneous fluctuations of beat-to-beat systolic blood pressure values recorded by finger plethysmography with Finometer device. Outcomes included independence at 90 days (modified Rankin scale 0-2) and the initial clinical response to mechanical thrombectomy. Results: We included 121 patients. Increased BPV at high frequencies (rapid oscillations) was independently associated with poor functional outcome at 90 days (normalized units, odds ratio (OR) = 0.56, 95% confidence interval (CI) 0.35 - 0.88, p=0.01; low/high frequency ratio OR = 1.38, CI 1.09 - 1.76, p<0.01) and early neurological recovery (normalized units, OR = 0.67, CI 0.46 - 0.98, p=0.04) in multivariate analysis. Conclusions: The magnitude of rapid oscillations of blood pressure has a significant impact in early neurological recovery and late functional outcome of ischemic stroke patients after successful recanalization. Very short-term BPV can be assessed quickly throughout the post intervention period and potentially contribute to a more efficient blood pressure control in AIS patients submitted to endovascular treatment.
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Gayhart, Jeffrey Martin. "The Effectiveness of the Hands On Program in Attaining the Stated Goals of the International Mission Board: A Quantitative Study." Diss., 2013. http://hdl.handle.net/10392/4530.
Full textAbstract:
ABSTRACT
THE EFFECTIVENESS OF THE HANDS ON PROGRAM
IN ATTAINING THE STATED GOALS OF THE
INTERNATIONAL MISSION BOARD:
A QUANTITATIVE STUDY
Jeffrey Martin Gayhart, Ph.D.
The Southern Baptist Theological Seminary, 2013
Chair: Dr. George H. Martin
This dissertation examines the effectiveness of the International Mission Board's Hands On program in reaching stated goals. Chapter 1 introduces the research question by examining the current state of short-term missions (STM) and the Foreign Mission Board/International Mission Board's (FMB/IMB) methodological embrace of STM. This chapter introduces a particular short-term mission (STM) opportunity offered by the IMB, called Hands On. The research questions are addressed by a historical study and by a quantitative study of the effectiveness of the Hands On program.
Chapter 2 is a more in depth historical study of the Southern Baptist Convention (SBC), the history of the FMB/IMB and its embrace of new methodologies, particularly STM. The chapter notes the FMB's initial use of college students for STM assignments, which blossomed into the Journeyman program. The chapter concludes with the FMB's adoption of Bold Mission Thrust as impetus for a more robust student mission strategy, including Hands On.
Chapter 3 is an additional historical sketch for this study that reviews the history of STM and student missions. This chapter explains how the early histories of the SBC and student missions/STM movement parallel one another chronologically but not methodologically. The student missions/STM movement is a historical phenomenon that both informs the IMB's strategy and benefits from the IMB's methodological embrace. Also, this chapter surveys technological and sociological advances that opened the world to shorter-term missionaries.
The final two chapters focus on the results, analysis, and answers to the research problem. Chapter 4 includes the results and findings of the quantitative survey. In addition, this chapter explains the data analysis method of structural equation modeling (SEM), which is used to analyze multivariate data.
Chapter 5 discusses presented resolutions (or lack thereof) to the research problems introduced in Chapter 1. In addition, this chapter includes recommendations for changes in the Hands On program. Finally, this chapter highlights some potential areas for further research.
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黃昭儒. "A Study of the Evaluation Factors of Buying Medical Device –An Example of Short-term Hemodialysis Catheter." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/55133231398864209767.
Full textAbstract:
碩士國立彰化師範大學
會計學系企業高階管理
97
Aging population increases the demand of medical services and related healthcare, especially in kidney failure which consumes huge amount of medical resources. Kidney failure is divided in acute and chronic forms (also as known as End Stage Renal Disease, ESRD). Short-term hemodialysis catheter acts as a temporary access for hemodialysis until fistula can be planed, placed, and matured when the kidney failure happens acutely or diagnosis of kidney failure is confirmed. In this research, we choose the step 3 of Decision Process – Alternatives evaluation from EKB model and set Short-term hemodialysis catheter as the research object to study its applications in the Taiwan’s medical market, and furthermore to study the alternatives evaluation of buying Short-term hemodialysis catheter through interviewing the medical professionals. Focus on further study the five research phases of service quality and marketing mix (4P) which are product, price, place, and promotion. After processing three questionnaires of Delphi technique, we conclude the results of five research phases which are service quality, produce, price, place, and promotion in alternatives evaluation of Decision Process. According the research result, we further conclude that “service quality” and “product” are the two major evaluation factors when medical professionals work on the alternatives evaluation of Decision Process. Salespeople should emphasize the services of reliability and assurance for service quality,. Regarding product, the functionality, design, and its auxiliary accessories are the primary factors for evaluation. The price should be set equal to quality. For the distribution network (place) and promotion will still remain the traditional ways for supplying.
50
Daly, Matthew. "The short term effects of muscle energy technique on thoracic range of motion." Thesis, 2004. https://vuir.vu.edu.au/789/.
Full textAbstract:
Muscle Energy Technique (MET) has been reported to produce an immediate increase in the range of motion (ROM) of the spine. There is limited research in the application of MET to the thoracic spine and no evidence of the duration of any ROM change. The effect of Muscle Energy Technique was not significantly different from the sham treatment in increasing thoracic range of motion into a restricted direction within an asymptomatic sample population, either directly after MET application or at approximately thirty minutes post-MET. Range of motion was significantly different when comparing the restricted side to the non-restricted side, but not between the sham treatment and treatment groups.
This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.